| NPI | 1225315377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MA RN2268553) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2268553) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: NH 053558-23) | |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MA RN2268553) | |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2023-10-05 |