| NPI | 1699958272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NM R53074) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: WA AP60235008) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2011-11-30 |