| NPI | 1942504642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: AL 1-137076) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: IN 71003486) |
| 363LN0000X Nurse Practitioner Neonatal (Licence: IN 28194201) | |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2022-01-05 |