| NPI | 1902053689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: AZ AP6487) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: AZ RN088323) |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2017-04-27 |