| NPI | 1790818458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NY F335095) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F335095) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2017-01-24 |