NPI | 1588096275 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MD R208732) |
Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: GA RN203887) |
363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: GA RN203887) | |
Enumeration Date | 2013-08-05 |
Last Update Date | 2023-07-21 |