| NPI | 1114620341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: MS 910621) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 907057) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 37767) | |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2024-12-18 |