NPI | 1982102018 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MA RN274465) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN274465) |
363LN0000X Nurse Practitioner, Neonatal (Licence: MA 274465) | |
363LN0000X Nurse Practitioner, Neonatal (Licence: RI APRN01756) | |
Enumeration Date | 2018-01-23 |
Last Update Date | 2022-06-23 |