| NPI | 1730465691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: MO 2011030943) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: KS 53-75424-021) |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2011-10-24 |