| NPI | 1356940894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: AL 1-166275) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: AL 1-166275) |
| Enumeration Date | 2020-10-24 |
| Last Update Date | 2022-09-24 |