NPI | 1306391776 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 5008767) |
Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TX AP127294) |
363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NC 5008767) | |
Enumeration Date | 2016-08-16 |
Last Update Date | 2023-12-03 |