NPI | 1285820449 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NY 350280) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 381845) |
Enumeration Date | 2007-09-21 |
Last Update Date | 2022-05-19 |