| NPI | 1447739628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: RI APRN01870) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: GA RN285215) |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2019-06-28 |