| NPI | 1568723757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NY f350335-1) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: NY F350335-1) |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2015-10-08 |