| NPI | 1578577128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: VA 0024166353) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001131496) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2009-05-08 |