NPI | 1104130236 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: AZ AP3827) |
Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: AZ RN124410) |
Enumeration Date | 2010-07-30 |
Last Update Date | 2020-12-09 |