NPI | 1427546852 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MO 2018025958) |
Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: MO 2008020275) |
Enumeration Date | 2018-05-01 |
Last Update Date | 2021-06-09 |