| NPI | 1700952934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 63118) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK R0073919) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2013-07-04 |