| NPI | 1861602013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: OR 0024165336) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: WA AP60288119) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2012-07-31 |