| NPI | 1407943459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: OR O84059397RN) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: OR O84059397N9) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2007-07-08 |