| NPI | 1710736368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: CT 197688) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 1138764) |
| Enumeration Date | 2024-05-16 |
| Last Update Date | 2024-05-16 |