| NPI | 1659594661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: LA AP05178) |
| Additional Taxonomies | 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: LA RN105300) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-07-08 |