| NPI | 1639129760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN 0000010744) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TN APN0000010744) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2016-03-25 |