| NPI | 1295971737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN228301) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: CT 004002) |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2024-04-18 |