| NPI | 1104242148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MA RN2260353) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2260353) |
| 363L00000X Nurse Practitioner (Licence: MA RN2260353) | |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2021-10-27 |