| NPI | 1801868450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: CT 000704) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 000704) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2015-01-26 |