| NPI | 1073273066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: NH 088113-23) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: MA RN2358699) |
| Enumeration Date | 2021-12-18 |
| Last Update Date | 2022-05-24 |