NPI | 1588905046 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MA CNP2272052) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: RI APRN00327) |
Enumeration Date | 2013-03-08 |
Last Update Date | 2021-09-09 |