| NPI | 1750702205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: PA SP013579) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN584796) |
| Enumeration Date | 2014-01-01 |
| Last Update Date | 2014-01-01 |