NPI | 1598383556 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: CT 159902) |
Additional Taxonomies | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: MA RN2265740) |
363L00000X Nurse Practitioner (Licence: MA RN2265740) | |
Enumeration Date | 2020-07-07 |
Last Update Date | 2021-03-30 |