| NPI | 1215496229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: PA SP020208) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN522611L) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2021-08-18 |