| NPI | 1720705478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: LA 228104) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN141438) |
| Enumeration Date | 2022-10-24 |
| Last Update Date | 2022-12-02 |