NPI | 1396629887 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: CT 12.015194) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: CT 15194) |
Enumeration Date | 2025-08-05 |
Last Update Date | 2025-09-16 |