| NPI | 1992534028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 5020810) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001281345) |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2024-09-10 |