| NPI | 1982286241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: UT 264608-3102) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: UT 264608-4405) |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2021-07-30 |