| NPI | 1740694801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP1700X Nurse Practitioner, Perinatal (Licence: PA UP004595T) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN326873L) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2021-08-25 |