NPI | 1134828478 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: LA 229564) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 229564) |
Enumeration Date | 2023-02-27 |
Last Update Date | 2024-09-30 |