NPI | 1588959670 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 282NC2000X General Acute Care Hospital, Children (Licence: MA RN169645) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: MA RN169645) |
363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MA RN169645) | |
Enumeration Date | 2011-06-16 |
Last Update Date | 2020-11-16 |