| NPI | 1336396019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: AZ AP2445) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: AZ RN073582,) |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2017-04-12 |