| NPI | 1669869780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NM CNP-02780) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: CO 182604) |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2015-11-19 |