| NPI | 1992589659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: PA SP028109) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP028109) |
| Enumeration Date | 2023-08-23 |
| Last Update Date | 2024-10-21 |