| NPI | 1184895401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: CT 2047) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 002047) |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2013-04-05 |