| NPI | 1134153406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 063139) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: KS 44448) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2016-08-02 |