| NPI | 1477553972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: CT 1842) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: CT 001842) |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2014-07-30 |