| NPI | 1093926883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: PA SP007610) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MI 4704366500) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA UP005028D) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MN 6894) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2021-06-07 |