NPI | 1659567865 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: LA AP05440) |
Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: LA RN099019) |
363LN0000X Nurse Practitioner, Neonatal (Licence: LA AP05440) | |
Enumeration Date | 2007-09-20 |
Last Update Date | 2024-08-09 |