| NPI | 1902159395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 2009002716) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: KS 53-46262-061) |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2024-02-05 |