| NPI | 1033220322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: VA 0024173279) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: NC BRO1-0438-3561) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2016-09-14 |