| NPI | 1902322332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 2017025288) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: KS 77756) |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2017-08-17 |