| NPI | 1962921536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: CA 95009089) |
| Additional Taxonomies | 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: CA 95104969) |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2022-07-21 |