| NPI | 1346114279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL 11042757) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9666070) |
| Enumeration Date | 2025-10-02 |
| Last Update Date | 2025-10-07 |