NPI | 1134153406 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 063139) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: KS 44448) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2016-08-02 |