NPI | 1639536832 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: LA AP08482) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: NC MIST-15VE7N) |
Enumeration Date | 2016-01-20 |
Last Update Date | 2020-10-06 |