| NPI | 1871820761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: WA AP60116153) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60116153) |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2011-08-31 |