| NPI | 1265754618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: LA RN065691-AP02120) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: LA AP02120) |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2016-12-28 |