| NPI | 1033854559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: LA 232914) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN161483) |
| Enumeration Date | 2022-04-29 |
| Last Update Date | 2023-12-20 |