| NPI | 1346200946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MA 141276) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN141276) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2020-11-10 |