NPI | 1275207441 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NC 104245031) |
Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: NC 246200) |
363LN0000X Nurse Practitioner, Neonatal (Licence: NC 5014768) | |
Enumeration Date | 2021-08-02 |
Last Update Date | 2023-05-01 |