| NPI | 1699181867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: CO 0991687) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: MN 217123-8) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2015-04-29 |