NPI | 1164754586 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MD r136634) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R136634) |
Enumeration Date | 2010-02-10 |
Last Update Date | 2022-05-26 |