| NPI | 1407807282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: PA SP010344) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP007136) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2024-03-13 |