| NPI | 1043881261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL 11014484) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: IN 28234593A) |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2021-10-12 |