| NPI | 1386225621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: NE 114531) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000218086) |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2022-12-22 |