| NPI | 1265442685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ RN110569) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: MN 210704-0) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2013-09-25 |