NPI | 1225127764 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MA 160084) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: CT 001140) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2014-05-22 |