| NPI | 1902934086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: OR 099007809N9 NNP-PP) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: OR 099007809N9 NNP-PP) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2007-07-08 |