| NPI | 1689030157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: PA SP014793) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN535518) |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2016-01-13 |