| NPI | 1609050608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: UT 5557181-4405) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: ID NNP 689A) |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2014-08-26 |