| NPI | 1811590573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: SC 27346) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA 249455) |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2023-09-26 |