| NPI | 1154724599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 004982) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: CT 004982) |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2015-02-11 |