NPI | 1346616604 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: GA RN198466) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: GA RN198466) |
363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: UT 8834868-4405) | |
Enumeration Date | 2015-08-20 |
Last Update Date | 2022-08-04 |