| NPI | 1881695823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: GA RN084947) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA R084947) |
| Enumeration Date | 2005-08-01 |
| Last Update Date | 2011-04-19 |