| NPI | 1710067319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: PA SP010455) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 350255) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2014-12-17 |