NPI | 1588049704 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: AR A004494) |
Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL APRN9490742) |
363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: AR A004494) | |
Enumeration Date | 2015-07-29 |
Last Update Date | 2019-11-13 |