| NPI | 1689111015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP017234) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: PA RN562952) |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2020-12-18 |