| NPI | 1205637071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NM 57658) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: NM 57658) |
| Enumeration Date | 2025-03-19 |
| Last Update Date | 2025-08-13 |