| NPI | 1740061357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: WA AP70006260) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: GA RN315576) |
| Enumeration Date | 2023-10-10 |
| Last Update Date | 2025-06-03 |