| NPI | 1457505521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 2002006325) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 74925) |
| Enumeration Date | 2008-11-15 |
| Last Update Date | 2016-02-29 |