| NPI | 1174608251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9454637) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NN08467700) |
| 363L00000X Nurse Practitioner (Licence: PA RN280041L) | |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: PA RN280041L) | |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: PA RN280041L) | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2024-04-09 |