| NPI | 1023273265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NH 048573-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN216454) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: CT 5671) | |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: MA RN216454) | |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2021-02-03 |