NPI | 1134657042 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MD AC008102) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: ID 55748) |
Enumeration Date | 2017-05-23 |
Last Update Date | 2025-10-07 |