| NPI | 1407192610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP013645) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: PA SP013645) |
| Enumeration Date | 2012-12-14 |
| Last Update Date | 2019-08-15 |