| NPI | 1619056512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: FL ARNP 0370622) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NY F3501531) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2011-04-15 |