| NPI | 1689293946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: CA 95022072) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: CA 759587) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: CA 95022072) | |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2023-01-03 |