NPI | 1124662218 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: AL 3-001769) |
Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: FL RN9357420) |
363LN0000X Nurse Practitioner, Neonatal (Licence: FL APRN11006005) | |
Enumeration Date | 2019-10-31 |
Last Update Date | 2024-07-29 |