| NPI | 1780922054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: PA SP012662) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN571660) |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2013-01-22 |