| NPI | 1033831219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: KS 103583) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: KS 81600) |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2022-10-20 |