| NPI | 1194518902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: WI 104878830) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: WI 194204-30) |
| Enumeration Date | 2025-05-24 |
| Last Update Date | 2025-07-09 |