| NPI | 1962445643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: KS 14-72650-112) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: MO 115266) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2007-07-08 |