| NPI | 1750377594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 930189) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 930189) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2010-11-01 |