| NPI | 1962835280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MD R095212) |
| Additional Taxonomies | 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: MD R095212) |
| 163WL0100X Registered Nurse, Lactation Consultant (Licence: VA 11226045) | |
| 163WM0102X Registered Nurse, Maternal Newborn (Licence: MD R095212) | |
| Enumeration Date | 2013-08-11 |
| Last Update Date | 2013-08-11 |