| NPI | 1306990346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MA 166641) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: VT 101.0084113) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2013-07-08 |