| NPI | 1952944795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: ID 71956) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 5012394) |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2022-04-20 |