| NPI | 1710494539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA SP018434) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: PA RN576165) |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2020-08-30 |