| NPI | 1578503140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NV APN000967) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: UT 5977278-8900) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2012-03-21 |