| NPI | 1730912650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: IA K178412) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IA K178412) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: IA K178412) | |
| Enumeration Date | 2024-08-26 |
| Last Update Date | 2025-09-23 |