| NPI | 1871923698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: RI APRN00453) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 274756) |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2025-06-17 |