| NPI | 1174142160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: VA 0024179468) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001273124) |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2020-07-01 |