| NPI | 1770721664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: KS 5345325091) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: CO 101071) |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2009-08-20 |