| NPI | 1336148188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: GA RN139907) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: GA RN139907) |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2018-07-26 |