| NPI | 1740678499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: ME CNP161220) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: PA SP014664) |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2022-03-25 |