| NPI | 1912256017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 2012026934) |
| Additional Taxonomies | 363LP1700X Nurse Practitioner, Perinatal (Licence: MO 2012026934) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2022-09-12 |