| NPI | 1942794169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NE 112573) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 64863) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-07-22 |