NPI | 1386409670 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704324212) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: MI 4704324212) |
Enumeration Date | 2024-02-16 |
Last Update Date | 2024-03-04 |