NPI | 1013542471 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: VA 0024183096) |
Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: CA 95014298) |
363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: CA 95171571) | |
Enumeration Date | 2020-03-06 |
Last Update Date | 2022-02-01 |