| NPI | 1861435018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: UT 7227185-4405) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: NH 0432382310) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2011-03-05 |