| NPI | 1770837254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP019958) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: PA RN597060) |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2019-11-01 |