NPI | 1558050203 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: CO 0998795) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 0150113) |
Enumeration Date | 2023-05-08 |
Last Update Date | 2023-06-16 |