| NPI | 1912063223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NC 5016635) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: SC 23864) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MN 2477603) | |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2024-03-23 |