| NPI | 1962282020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM0102X Registered Nurse, Maternal Newborn (Licence: OR 202213928RN) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: OR 202213928RN) |
| Enumeration Date | 2023-10-04 |
| Last Update Date | 2023-10-04 |