NPI | 1518919737 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: CA 6175) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA RN 313934) |
Enumeration Date | 2006-05-16 |
Last Update Date | 2021-07-06 |