| NPI | 1598722605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: RI APRN01232) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 1580008) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: CT 003721) | |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: CT 3721) | |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2023-03-16 |