| NPI | 1003517046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MA RN2345639) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: ME CNP231089) |
| Enumeration Date | 2023-03-16 |
| Last Update Date | 2024-09-16 |