NPI | 1013082825 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: CA 257681) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 257681) |
364SP1700X Clinical Nurse Specialist, Perinatal (Licence: CA 257681) | |
Enumeration Date | 2006-11-21 |
Last Update Date | 2007-07-08 |