| NPI | 1376296756 |
|---|---|
| Former Name | ROSE MALYNN BERRY GABORIAU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: SC 25884) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: SC 225895) |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2022-03-11 |