| NPI | 1861728495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: AZ AP2464) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN080027) |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2014-10-13 |