NPI | 1215548128 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NY 350515) |
Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: NY 801979) |
Enumeration Date | 2020-08-13 |
Last Update Date | 2021-05-06 |