| NPI | 1235419920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: TN 16524) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: WI 4473-33) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2013-08-14 |