| NPI | 1174589873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN APN0000010710) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TN APN0000010710) |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2011-05-09 |