NPI | 1124294053 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: KY 3004802) |
Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: KY 3004802P) |
Enumeration Date | 2008-04-30 |
Last Update Date | 2018-09-12 |