| NPI | 1124340484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NE 111015) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 61864) |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2012-01-24 |