| NPI | 1295057917 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NH 062322-23) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN274826) | 
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MA RN274826) | |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: MA RN274826) | |
| Enumeration Date | 2010-02-22 | 
| Last Update Date | 2021-03-30 |