| NPI | 1467665604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 145551) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: IL 209013374) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2016-02-05 |