| NPI | 1255393328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: WA AP30007687) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TX 667475) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: WA AP30007687) | |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2009-01-30 |