| NPI | 1780634402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 111431) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: KS 44306) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2007-07-08 |