| NPI | 1023432549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN 18194) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: MS R883470) |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2014-03-12 |