NPI | 1366072548 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN677166) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: PA SP021410) |
Enumeration Date | 2020-01-16 |
Last Update Date | 2020-01-25 |