| NPI | 1073867057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX AP122989) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: ME RN58069) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: ME RN58069) | |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2021-01-07 |