| NPI | 1619501376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95020071) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: CA 95020071) |
| 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: CA 511990) | |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2024-06-21 |