| NPI | 1225127764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MA 160084) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: CT 001140) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2014-05-22 |