| NPI | 1861073751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: GA RN201171) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN201171) |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2023-04-05 |