| NPI | 1174890636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: OK 101434) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 2008019868) |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2011-11-28 |