NPI | 1477553972 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: CT 1842) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: CT 001842) |
Enumeration Date | 2005-07-26 |
Last Update Date | 2014-07-30 |