NPI | 1487194189 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN 35533) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5009413) |
363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NC 185546) | |
Enumeration Date | 2017-02-28 |
Last Update Date | 2024-08-02 |