NPI | 1104901289 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA VP003505J) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LM-0000160) |
363LN0000X Nurse Practitioner, Neonatal (Licence: PA VP003505J) | |
363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: PA VP003505J) | |
Enumeration Date | 2006-10-26 |
Last Update Date | 2018-05-30 |