| NPI | 1891167334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NY 350445) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 652266) |
| 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: NY 652266) | |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2022-03-27 |