| NPI | 1972500189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: CA 10646) |
| Additional Taxonomies | 364SN0000X Clinical Nurse Specialist, Neonatal (Licence: CA 708) |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2007-07-08 |