NPI | 1548682453 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: FL ARNP9258857) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 10045129) |
Enumeration Date | 2014-01-11 |
Last Update Date | 2025-09-26 |