NPI | 1578685590 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NY 350255) |
Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NY F350255) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 381381) | |
363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NJ00054000) | |
Enumeration Date | 2007-04-03 |
Last Update Date | 2022-05-23 |