| NPI | 1003521584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: WI 13562-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 187202-30) |
| Enumeration Date | 2023-01-18 |
| Last Update Date | 2023-02-06 |