| NPI | 1184894511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: OK 48117) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MO 076731) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2008-07-23 |