| NPI | 1942879523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: MD R217062) |
| Additional Taxonomies | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: MD R217062) |
| 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: MD R217062) | |
| Enumeration Date | 2021-06-18 |
| Last Update Date | 2021-06-18 |