| NPI | 1073191458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: GA RN228685) |
| Additional Taxonomies | 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: GA RN228685) |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2022-01-20 |