| NPI | 1972246064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: SC 28016) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 217314) |
| Enumeration Date | 2022-04-16 |
| Last Update Date | 2023-11-15 |