| NPI | 1275137150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: LA 227676) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN156774) |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2022-11-03 |