| NPI | 1184212805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: ID 4883) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: AZ 254819) |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2025-07-30 |