NPI | 1043881261 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL 11014484) |
Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: IN 28234593A) |
Enumeration Date | 2021-07-08 |
Last Update Date | 2021-10-12 |