| NPI | 1164200366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN 34941) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TN 34941) |
| 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: TN 231031) | |
| Enumeration Date | 2023-09-19 |
| Last Update Date | 2023-12-01 |