| NPI | 1811200512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NE 111161) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 59261) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2013-12-13 |