| NPI | 1073956470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN APN0000017963) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000168082) |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2013-12-11 |