| NPI | 1932892890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NY 350575) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 777047) |
| 163W00000X Registered Nurse (Licence: NJ 777047) | |
| Enumeration Date | 2023-05-29 |
| Last Update Date | 2023-10-15 |