NPI | 1548636640 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: SC 19648) |
Additional Taxonomies | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: SC 19648) |
Enumeration Date | 2015-08-12 |
Last Update Date | 2021-02-26 |