| NPI | 1770948895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN 35925) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: ME CNP151193) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2024-05-15 |