| NPI | 1558310664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 133878) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: KS 45434) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: KS 14-71543-072) | |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2007-07-08 |