| NPI | 1700874484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP007968) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: PA SP007968) |
| 363LP1700X Nurse Practitioner, Perinatal (Licence: PA VP003983T) | |
| 363L00000X Nurse Practitioner (Licence: PA VP003983T) | |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2021-03-08 |