| NPI | 1902096399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: GA RN182787) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner Pediatrics, Critical Care (Licence: AK 794) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2014-04-11 |