| NPI | 1063466084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TN APN6369) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MS A810209) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TN 81215) | |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2007-11-27 |