| NPI | 1760495063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R038803) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: MD R038803) |
| 363LP1700X Nurse Practitioner, Perinatal (Licence: MD R038803) | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2010-06-14 |