| NPI | 1821341975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 378509-4405) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: UT 378509-4405) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2016-10-12 |