| NPI | 1619341328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: DE LM-0000162) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0045750) |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-12-16 |