| NPI | 1073571311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 085391) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: KS 14-77082-102) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: KS 44549) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2007-07-08 |