| NPI | 1033754395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: ID 63300) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: ID 41528) |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2023-02-10 |