| NPI | 1073833661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL 9183842) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9183842) |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2018-10-23 |