| NPI | 1205117835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 108816) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 108816) |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2017-01-06 |