NPI | 1033779509 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: WI 11714) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2473316) |
163W00000X Registered Nurse (Licence: WI 172471) | |
363LN0000X Nurse Practitioner, Neonatal (Licence: MN 6702) | |
Enumeration Date | 2019-06-17 |
Last Update Date | 2022-03-09 |