| NPI | 1952811705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2017035517) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: MO 2017035517) |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2017-10-11 |