| NPI | 1770746018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MA RN195992) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN195992) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2022-01-29 |