| NPI | 1659437523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: OH 174444) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: NJ 26NN09851300) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2007-07-08 |