| NPI | 1407168040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: IA K-100614) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: SD CP000596) |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2010-08-17 |