| NPI | 1841677622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: AR A004436) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MO 2016039183) |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2017-01-03 |