NPI | 1265818462 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: SD CP001464) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 4044) |
363LN0000X Nurse Practitioner, Neonatal (Licence: MN CNP 4044) | |
Enumeration Date | 2015-08-11 |
Last Update Date | 2022-04-26 |