| NPI | 1083774400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ AP 4013) |
| Additional Taxonomies | 163WN0003X Registered Nurse, Neonatal, Low-Risk (Licence: AZ RN085528) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2017-03-14 |