| NPI | 1518617307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN APN0000035241) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 207211) |
| Enumeration Date | 2022-03-25 |
| Last Update Date | 2024-01-25 |