| NPI | 1669137253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: MA RN2303064) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: RI APRN02896) |
| Enumeration Date | 2021-11-08 |
| Last Update Date | 2023-06-13 |