| NPI | 1558652842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: PA SP011223) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA NPPA047407) |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2022-04-23 |