| NPI | 1740090745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: KS 5384588061) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: KS 13139929061) |
| Enumeration Date | 2025-01-10 |
| Last Update Date | 2025-07-29 |