NPI | 1245296011 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: CO 87145) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 229464) |
Enumeration Date | 2006-04-21 |
Last Update Date | 2010-02-17 |