| NPI | 1215012307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA VP001289J) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: PA VP001289J) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: PA VP001289J) | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2011-09-02 |