NPI | 1295111300 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MN 7064) |
Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: CO APN.0991875-NP) |
363L00000X Nurse Practitioner (Licence: MN 7064) | |
Enumeration Date | 2015-07-31 |
Last Update Date | 2024-08-22 |