| NPI | 1396244844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: CT 8431) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: MA RN2319712) |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2022-09-12 |