| NPI | 1720729106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: PA SP027546) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: PA 027546) |
| 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: PA 565352) | |
| Enumeration Date | 2022-04-07 |
| Last Update Date | 2023-05-24 |