| NPI | 1013233287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NV APN00197) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: NV 197) |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2012-03-21 |