| NPI | 1114137619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: GA RN160240) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: GA RN160240NP) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2015-05-20 |