NPI | 1396341459 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11007850) |
Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: FL RN9305827) |
Enumeration Date | 2020-12-04 |
Last Update Date | 2020-12-04 |