NPI | 1356776512 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 835764) |
Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: LA RN 098163) |
363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: LA AP 07176) | |
Enumeration Date | 2013-09-06 |
Last Update Date | 2016-02-03 |