| NPI | 1982334629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: CO 0102306-C-NP) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: KS 5380835081) |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2024-06-29 |