| NPI | 1053438960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: NE 110768) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: NE 110768) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2013-12-13 |