| NPI | 1215010806 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: IN 71002131)  | 
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: IN 28165946)  | 
| Enumeration Date | 2006-10-24 | 
| Last Update Date | 2015-05-08 |