| NPI | 1659449908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL 2165452) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: FL ARNP 2165452) |
| Enumeration Date | 2006-12-02 |
| Last Update Date | 2012-03-26 |