NPI | 1013597871 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL APRN11013767) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: WV 108858) |
Enumeration Date | 2021-04-14 |
Last Update Date | 2021-10-25 |