| NPI | 1629374038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: PA TP001141J) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA TP005784D) |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2014-04-04 |