| NPI | 1962724344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: IN 71003817A) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 2010006352) |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2019-07-31 |