| NPI | 1558050203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: CO 0998795) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 0150113) |
| Enumeration Date | 2023-05-08 |
| Last Update Date | 2023-06-16 |