| NPI | 1295895456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: ME R032022) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: NY F350360) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2018-07-24 |