| NPI | 1255506176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: ME CNP191012) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: AZ 170526) |
| 363L00000X Nurse Practitioner (Licence: OH COANP03048) | |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: AZ 170526) | |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: OH NCCSAN104280215) | |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: AZ AP4462) | |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2019-09-11 |