| NPI | 1780655308 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MD R098027)  | 
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: MD R098027)  | 
| Enumeration Date | 2006-01-31 | 
| Last Update Date | 2019-12-11 |