NPI | 1194114165 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: SC 19227) |
Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: SC 200918) |
Enumeration Date | 2015-01-14 |
Last Update Date | 2023-03-16 |