| NPI | 1417494402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: ME CNP211425) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01689) |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2021-10-18 |