NPI | 1174895353 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: ID NP-1112A) |
Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: ID NP-1112A) |
363LN0000X Nurse Practitioner, Neonatal (Licence: MT NUR-APRN-LIC-161736) | |
Enumeration Date | 2012-02-02 |
Last Update Date | 2024-02-22 |