| NPI | 1942816350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN 32956) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000218266) |
| 163W00000X Registered Nurse (Licence: MS 902669) | |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2022-12-13 |