| NPI | 1972245942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: AZ RNP278952) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN192739) |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2022-08-05 |