| NPI | 1639268337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN 10603) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 86671) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2012-11-07 |