| NPI | 1366521056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: IN 71001852) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: IN 28053992) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2011-02-22 |