| NPI | 1376728055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NY F350211-1) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL 2866632) |
| Enumeration Date | 2008-01-01 |
| Last Update Date | 2014-05-02 |