| NPI | 1235340258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NE 110533) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: NE 110533) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2010-03-02 |