| 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 |