| NPI | 1962975219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: ID 60428) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID 60428) |
| 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: WA 61079183) | |
| 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: ID 60428) | |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: WA AP61114357) | |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2024-03-27 |