| NPI | 1477614626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R144543) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: MD R144543) |
| 363LP1700X Nurse Practitioner, Perinatal (Licence: MD R144543) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-07-08 |