| NPI | 1114309853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: ID NP-1615A) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: CO 0187605) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2015-08-20 |