| NPI | 1104939826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: MD R106237) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R106237) |
| 363LP1700X Nurse Practitioner Perinatal (Licence: MD R106237) | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2016-03-21 |