NPI | 1619972882 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: KS 44895) |
Additional Taxonomies | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: NE 112129) |
Enumeration Date | 2005-06-15 |
Last Update Date | 2022-01-05 |