NPI | 1609139617 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL APRN11024857) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 676108) |
Enumeration Date | 2012-06-25 |
Last Update Date | 2023-07-10 |