NPI | 1558731612 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN 26470) |
Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NC 5008046) |
363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TN 26470) | |
Enumeration Date | 2015-10-01 |
Last Update Date | 2022-03-24 |