| NPI | 1912907791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: CT 000600) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: CT 600) |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2013-07-30 |