| NPI | 1275046146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC 21235) |
| Additional Taxonomies | 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: SC 98590) |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2023-05-11 |