| NPI | 1174568752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: FL ARNP9391501) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: MS R862823) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2016-02-03 |