| NPI | 1871233536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN 31479) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 31479) |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2023-10-09 |