| NPI | 1831423169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 2010040481) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: KS 5375277101) |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2012-02-14 |