| NPI | 1467725093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 117303) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 117303) |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2015-10-23 |