| NPI | 1710349295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: LA 90509 2253) |
| Additional Taxonomies | 282NC2000X General Acute Care Hospital Children (Licence: LA 90509 2253) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2016-03-24 |