| NPI | 1144288309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: MO 2000149788) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: KS 45717) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2007-07-08 |