| NPI | 1598569840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: CA 95029922) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: CA 95029922) |
| Enumeration Date | 2025-04-03 |
| Last Update Date | 2025-04-03 |