| NPI | 1215574876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: MA RN2298320) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: NH 084509-23) |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2023-07-06 |