| NPI | 1598383556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: CT 159902) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: MA RN2265740) |
| 363L00000X Nurse Practitioner (Licence: MA RN2265740) | |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2021-03-30 |