| NPI | 1033542998 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: AL 1-088446)  | 
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: AL 1-088446)  | 
| Enumeration Date | 2013-08-14 | 
| Last Update Date | 2013-08-14 |