NPI | 1093054074 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 4787) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 2362924) |
363LN0000X Nurse Practitioner, Neonatal (Licence: IL 209.010210) | |
363LN0000X Nurse Practitioner, Neonatal (Licence: WI 5884) | |
Enumeration Date | 2013-02-11 |
Last Update Date | 2024-05-28 |