| NPI | 1215250717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: WI 3953-033) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 154631-030) |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2012-09-18 |