NPI | 1255584272 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MA 128093) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN128093) |
Enumeration Date | 2008-11-04 |
Last Update Date | 2022-03-04 |