| NPI | 1003067836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: AZ 121742) |
| Additional Taxonomies | 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: AZ 163WN0002X) |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2013-05-14 |