| NPI | 1871988501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: PA SP014705) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP014705) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2022-08-09 |