NPI | 1427208255 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: CT 4461) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: RI APRN01081) |
363LF0000X Nurse Practitioner, Family (Licence: RI NPP37470) | |
Enumeration Date | 2008-09-29 |
Last Update Date | 2024-09-03 |