NPI | 1568178226 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: TX 1057826) |
Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: TX 1057826) |
Enumeration Date | 2023-01-26 |
Last Update Date | 2024-10-07 |