| NPI | 1639443153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: NY F350249-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 516252-1) |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2012-04-02 |