| NPI | 1255633665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA 211300) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: MA 211300) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: CT 2265) | |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2020-02-18 |