| NPI | 1871903112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: PA VP001812J) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: WV APRN89774) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2019-12-20 |