| NPI | 1912688045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: SD CP002999) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: SD R050996) |
| 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: MN 2465896) | |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2024-07-12 |