| NPI | 1265790620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: AL 1-082342) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: AL 1082342) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: AL 1082342) | |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2012-04-24 |