NPI | 1659806438 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9384087) |
Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: FL APRN9384087) |
Enumeration Date | 2017-04-28 |
Last Update Date | 2019-03-22 |