NPI | 1114518776 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL APRN11013654) |
Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: WA AP61134914) |
Enumeration Date | 2021-01-27 |
Last Update Date | 2025-01-12 |