| NPI | 1235393521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: OR 200850080NP) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: OR 200841512RN) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2008-07-15 |