NPI | 1154684363 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS R879688) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: MS R879688) |
363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MS R879688) | |
Enumeration Date | 2012-06-21 |
Last Update Date | 2024-05-23 |