| NPI | 1811951767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: SC 18815) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN 11901) |
| Enumeration Date | 2006-04-15 |
| Last Update Date | 2014-07-10 |