| NPI | 1609350966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: RI APRN01923) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: ME CNP201453) |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2021-02-02 |