| NPI | 1609206853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN 183833) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN 18660) |
| Enumeration Date | 2013-11-24 |
| Last Update Date | 2022-02-23 |