| NPI | 1811503659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: LA 227951) |
| Additional Taxonomies | 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: LA RN149627) |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2023-07-19 |