| NPI | 1518609312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: ME CNP221077) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 059963-21) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: NH 059963-23) | |
| Enumeration Date | 2022-04-12 |
| Last Update Date | 2022-04-12 |