| NPI | 1760364889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: WI 17100-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 220235-30) |
| Enumeration Date | 2025-07-21 |
| Last Update Date | 2025-09-02 |