| NPI | 1669427985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: AZ RN047717) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: MN 162041-8) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2013-10-10 |