| NPI | 1487993994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: ME CNP211575) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: MA RN214603) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: RI APRN01012) | |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2025-01-15 |