| NPI | 1952647455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: OR 201502954NP-PP) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: IA K119426) |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2015-06-14 |