| NPI | 1366072548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN677166) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: PA SP021410) |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2020-01-25 |