| NPI | 1932641180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: OR 201609038NP-PP) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OR 201609038NP-PP) |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2019-07-08 |