| NPI | 1043270622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MA 230107) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: CT 5653) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2020-10-22 |