| NPI | 1942854070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: GA RN215227) |
| Additional Taxonomies | 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: GA RN215227) |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2023-03-15 |