| NPI | 1760253801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: OK 216609) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: OK R0084888) |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2024-05-20 |