| NPI | 1891872859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN195906) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 300355) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2024-01-09 |