| NPI | 1912541350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL 11015965) |
| Additional Taxonomies | 364SN0000X Clinical Nurse Specialist, Neonatal (Licence: FL 9451553) |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2022-12-08 |