| NPI | 1902844970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NV APN001382) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: LA RN041494-AP01192) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2012-08-14 |