| NPI | 1194284984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MD R263360) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: RI APRN03118) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2024-03-19 |