| NPI | 1073708640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NY F350271) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: PA SP012884) |
| 163WL0100X Registered Nurse, Lactation Consultant (Licence: PA L49408) | |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2016-09-28 |