NPI | 1619501376 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95020071) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: CA 95020071) |
163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: CA 511990) | |
Enumeration Date | 2020-03-02 |
Last Update Date | 2024-06-21 |