| NPI | 1982995585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: AZ 122866) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: CA NP20670) |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2013-02-22 |