| NPI | 1497949499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: AZ AP8686) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 8941) |
| Enumeration Date | 2007-09-01 |
| Last Update Date | 2019-02-01 |