NPI | 1265498315 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 485013) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: CA 485013) |
363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: CA 485013) | |
Enumeration Date | 2006-04-25 |
Last Update Date | 2007-07-16 |