| NPI | 1679769657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 785141) |
| Additional Taxonomies | 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: MS R785141) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2017-05-22 |