NPI | 1265442685 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ RN110569) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: MN 210704-0) |
Enumeration Date | 2006-08-08 |
Last Update Date | 2013-09-25 |