| NPI | 1841634367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: AZ AP10845) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN211599) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: NY F350351-1) | |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2018-04-12 |