| NPI | 1891156873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: LA APRN AP08439) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: LA AP08439) |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2020-09-23 |