NPI | 1588709000 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: FL 9236734) |
Additional Taxonomies | 207PP0204X Emergency Medicine Pediatric Emergency Medicine (Licence: FL ARNP9236734) |
Enumeration Date | 2007-02-21 |
Last Update Date | 2016-06-10 |