| NPI | 1962757260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MS R854159) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MS R854159) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2020-12-27 |