| NPI | 1275269805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: VA 0001103228) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: VA 20870) |
| 163WM0102X Registered Nurse, Maternal Newborn (Licence: VA 0001103228) | |
| 251J00000X Nursing Care (Licence: VA 0001103228) | |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2022-07-26 |