| NPI | 1245296011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: CO 87145) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 229464) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2010-02-17 |