NPI | 1003421033 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NY 350505) |
Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: NY 687171) |
Enumeration Date | 2020-09-15 |
Last Update Date | 2020-09-16 |