| NPI | 1730071291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 5022665) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: NC 376522) |
| Enumeration Date | 2025-07-18 |
| Last Update Date | 2025-09-03 |