| NPI | 1184380008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: VA 0024188573) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001251327) |
| Enumeration Date | 2021-11-15 |
| Last Update Date | 2026-07-10 |