| NPI | 1013778331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AL 1-181328) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: AL 1-181328) |
| Enumeration Date | 2024-01-23 |
| Last Update Date | 2025-10-05 |