| NPI | 1649606609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: ND R32655APRN) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: SD CP000813) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2017-10-26 |