| NPI | 1619121969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: PA SP020535) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: WV 59067) |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2019-08-15 |