| NPI | 1962720037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: VA 0024168397) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001194391) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2015-06-08 |