| NPI | 1356651590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MA 260045) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 260045) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2020-02-27 |