NPI | 1104178052 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: KY 3007721) |
Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: KY 3007721) |
Enumeration Date | 2012-10-02 |
Last Update Date | 2024-06-06 |