| NPI | 1629471008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MA RN2322237) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: IL 209011926) |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2022-11-25 |