| NPI | 1902212871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MS 9499310) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: GA RN239616) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MS 825403) | |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2024-10-23 |