| NPI | 1073758322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 098597) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 56774) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: KS 44413) | |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2008-12-15 |