| NPI | 1952668030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 065860-23) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 697370) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: MA RN2276287) | |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2012-09-07 |