| NPI | 1710546239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: AZ 231906) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: CO 175404) |
| Enumeration Date | 2019-06-08 |
| Last Update Date | 2025-05-19 |