| NPI | 1942841697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: GA RN203626) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN 26620) |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2021-02-12 |