| NPI | 1891921284 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: CA 16831) | 
| Additional Taxonomies | 364SN0000X Clinical Nurse Specialist, Neonatal (Licence: CA 2609) | 
| Enumeration Date | 2009-05-31 | 
| Last Update Date | 2010-11-30 |