| NPI | 1831835917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5016613) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: NC 246034) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 5016613) | |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2022-08-19 |