| NPI | 1770736159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: MA 205174) |
| Additional Taxonomies | 163WL0100X Registered Nurse Lactation Consultant (Licence: MA 205174) |
| 363LN0000X Nurse Practitioner Neonatal (Licence: MA 205174) | |
| 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: CT 002769) | |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2025-02-28 |