| NPI | 1003257940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NE 1908) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: NE 62731) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2013-07-08 |