| NPI | 1700051281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MS R621757) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: MS R621757) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2015-04-17 |