NPI | 1154882793 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: AR 213270) |
Additional Taxonomies | 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: AR R099374) |
Enumeration Date | 2019-03-27 |
Last Update Date | 2020-11-11 |