NPI | 1265042170 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL 11019673) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP022175) |
Enumeration Date | 2020-08-05 |
Last Update Date | 2022-06-23 |