| NPI | 1174971444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: PA SP025748) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: NJ 26NJ00848700) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP015941) | |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2022-12-14 |