| NPI | 1306869805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 069027) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: KS 44515) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2007-07-08 |