| NPI | 1669564449 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LW0000104)  | 
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: DE LW0000104)  | 
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: DE LW0000104)  | |
| Enumeration Date | 2006-09-29 | 
| Last Update Date | 2008-05-15 |