| NPI | 1194310383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: GA APRN-NP316422) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN316422) |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2026-04-13 |