| NPI | 1487616413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: NH 024689-23-02) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: NH 024689-23-02) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2011-11-10 |