NPI | 1043617665 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: IL 209014221) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 2014040196) |
Enumeration Date | 2014-11-25 |
Last Update Date | 2021-12-10 |