| NPI | 1710568316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: GA RN128291) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN128291) |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2025-01-16 |