| NPI | 1306089289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MD R206033) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 104343077) |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2015-01-22 |