| NPI | 1255617742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MT 198017) |
| Additional Taxonomies | 163WF0300X Registered Nurse, Flight (Licence: MT 29882) |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2022-09-22 |