| NPI | 1528520558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: FL APRN11009680) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9417152) |
| Enumeration Date | 2019-03-31 |
| Last Update Date | 2021-02-24 |