| NPI | 1942796040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: NY F350348-1) |
| Additional Taxonomies | 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: NY 554546) |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2021-03-23 |