| NPI | 1013524156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: LA 227802) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN153056) |
| 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: LA 227802) | |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2022-12-15 |