| NPI | 1881360188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NE 113871) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: SD R052333) |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2022-01-10 |