| NPI | 1912429655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: NY 350462) |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2023-07-03 |