| NPI | 1881749786 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MD R118595) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R118595) | 
| Enumeration Date | 2007-01-24 | 
| Last Update Date | 2011-02-10 |