| NPI | 1174087399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL 9434989) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: VA 0024180335) |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2020-10-14 |