| NPI | 1992511190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: AZ 316290) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 316290) |
| 376K00000X Nurse's Aide (Licence: AZ LNA1000043009) | |
| Enumeration Date | 2024-12-04 |
| Last Update Date | 2024-12-17 |