| NPI | 1043268675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 113808) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: KS 14-85146-081) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: KS 45068) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2007-07-08 |