| NPI | 1508408089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: WI 14684-33) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: TN 187805) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: MI 4704380497) | |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2023-11-08 |