| NPI | 1851717565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 3676A) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: SC 3676) |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2016-04-07 |