| NPI | 1710366174 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN APN19959) | 
| Additional Taxonomies | 364SN0000X Clinical Nurse Specialist, Neonatal (Licence: TN 19959) | 
| Enumeration Date | 2015-05-19 | 
| Last Update Date | 2016-03-03 |