| NPI | 1649892324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: WI 14889) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL APRN11007614) |
| 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: WI 176060-30) | |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2026-07-13 |