| NPI | 1275553919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: AZ AP6196) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN038913) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2014-10-20 |