| NPI | 1275847535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MA RN2283297) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: VA 0017140077) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 5004338) | |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: CO APN.0990740-NP) | |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2018-11-02 |