| NPI | 1689219388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: GA 267732) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: GA RN267732) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: GA 267732) | |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2022-12-16 |