NPI | 1366628455 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 263858-4405) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: UT 263858-4405) |
Enumeration Date | 2008-01-18 |
Last Update Date | 2022-09-12 |