| NPI | 1316624059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: PA SP028601) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP025965) |
| Enumeration Date | 2023-07-04 |
| Last Update Date | 2024-01-19 |