| NPI | 1134686934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: PA SP020343) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: MN 8239) |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2022-01-11 |