| NPI | 1194786368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MA RN156037) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MA 156037) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2021-04-26 |