| NPI | 1013275734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: PA UP005607D) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: PA UP001534J) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-01 |