| NPI | 1225700560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: PA RN659483) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2021-10-05 |