NPI | 1376083832 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN 24412) |
Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TN 24412) |
363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TN APRN24412) | |
Enumeration Date | 2017-03-03 |
Last Update Date | 2025-02-05 |