NPI | 1053381327 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP1651002) |
Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: FL 1651002) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP1651002) | |
Enumeration Date | 2006-01-26 |
Last Update Date | 2017-03-06 |