NPI | 1336393099 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 930180) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 103900) |
363LN0000X Nurse Practitioner, Neonatal (Licence: TN 14750) | |
Enumeration Date | 2008-11-07 |
Last Update Date | 2020-07-08 |