| NPI | 1720411762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MS R880059) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MS R880059) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2016-05-16 |