NPI | 1215097795 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: WA AP60148500) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 2007025927) |
363LN0000X Nurse Practitioner, Neonatal (Licence: MN R1777183) | |
363LN0000X Nurse Practitioner, Neonatal (Licence: OR 200350108NNP) | |
Enumeration Date | 2006-12-12 |
Last Update Date | 2015-01-19 |