| NPI | 1992405484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN 33527) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 33527) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TN 33527) | |
| Enumeration Date | 2023-03-03 |
| Last Update Date | 2024-06-20 |