| NPI | 1609116995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: LA AP07240) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: LA RN117759) |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2013-03-06 |