| NPI | 1982086815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: AZ AP8130) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 161709) |
| Enumeration Date | 2015-06-27 |
| Last Update Date | 2022-04-08 |