| NPI | 1992766802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MA RN235014) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN235014) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MA 235014) | |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2020-10-27 |