NPI | 1235528373 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP014343) |
Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: PA SP014343) |
Enumeration Date | 2015-01-13 |
Last Update Date | 2020-10-07 |