NPI | 1619690948 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: FL 9385370) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL APRN11035985) |
Enumeration Date | 2022-09-21 |
Last Update Date | 2025-05-06 |