| NPI | 1588075477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: AZ AP7266) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN187097) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2014-10-15 |