| NPI | 1962528497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MD R169331) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R169331) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2014-05-13 |