NPI | 1265754618 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: LA RN065691-AP02120) |
Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: LA AP02120) |
Enumeration Date | 2010-02-25 |
Last Update Date | 2016-12-28 |