NPI | 1417383399 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 2014000291) |
Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: TN 196668) |
363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TN 17929) | |
Enumeration Date | 2013-09-23 |
Last Update Date | 2024-06-11 |