| NPI | 1023307881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: AZ RN131725) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: AZ AP4053) |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2013-05-22 |