| NPI | 1003842691 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL ARNP3077392) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP3077392) | 
| Enumeration Date | 2006-06-24 | 
| Last Update Date | 2011-12-29 |