NPI | 1497290035 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: CA 95011875) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: PA SP017028) |
363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: PA SP017028) | |
Enumeration Date | 2017-01-05 |
Last Update Date | 2019-07-05 |