| NPI | 1447551387 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 2014033135) | 
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NE 111097) | 
| 363L00000X Nurse Practitioner (Licence: KS 76585) | |
| Enumeration Date | 2010-11-09 | 
| Last Update Date | 2016-10-21 |