NPI | 1518557545 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: WA 61436127) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA RN60486135) |
Enumeration Date | 2021-01-23 |
Last Update Date | 2023-08-08 |