| NPI | 1942759667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: KS 13-93381-062) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: KS 53-77404-062) |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2022-08-19 |