| NPI | 1891339354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: CA 95020002) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95041535) |
| 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: CA 95041535) | |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2022-03-09 |