| NPI | 1073845277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: SC 18880) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: SC 100169) |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2014-12-17 |