| NPI | 1790507861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN 37618) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: TN 14037983) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 37618) | |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2025-01-22 |