| NPI | 1346566726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MO 2009035045) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: KS 5344258111) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 2009035045) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: KS 5344258111) | |
| Enumeration Date | 2010-04-11 |
| Last Update Date | 2010-04-11 |