| NPI | 1811262371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: KY 3007985) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: NY 35350337) |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2016-07-12 |