| NPI | 1124279575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: IN 71002781A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28153028A) |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2009-11-17 |