NPI | 1497381107 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NY F345637-01) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY F345637-01) |
363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NY F345637-01) | |
Enumeration Date | 2020-03-14 |
Last Update Date | 2021-01-15 |