| NPI | 1073771465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: AZ AP3197) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN065239) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2014-10-13 |