| NPI | 1477291094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: IA K170246) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: IA 113760) |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2022-10-05 |