NPI | 1245413756 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9377220) |
Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: LA AP04959) |
Enumeration Date | 2007-12-07 |
Last Update Date | 2014-04-14 |