| NPI | 1043351778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: WI 3563-033) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: OR 093006205N9 NNP-PP) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2015-12-14 |