NPI | 1457960270 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NJ 26NJ01081800) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 719528) |
363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NY 350496) | |
Enumeration Date | 2020-07-28 |
Last Update Date | 2021-12-07 |