| NPI | 1417668617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: OR 10003691) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: OR 201701496RN) |
| Enumeration Date | 2022-12-08 |
| Last Update Date | 2024-02-06 |