| NPI | 1063786952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: NC 930176) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner Pediatrics, Critical Care (Licence: NC 930176) |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2012-02-24 |