| NPI | 1528028198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: CT 005959) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: MA RN224809) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MA RN224809) | |
| 363L00000X Nurse Practitioner (Licence: MA RN224809) | |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2020-11-16 |