| NPI | 1407120819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: FL ARNP9423233) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: FL ARNP9236410) |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2016-08-04 |