| NPI | 1750349924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 2004024377) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: KS 45774) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: KS 14-97009-031) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2007-07-08 |