| NPI | 1053716993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: RI APRN01817) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: MD R213130) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2019-10-01 |