NPI | 1669102133 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 1123554) |
Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: VA 1279736) |
363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: VA 0024185193) | |
Enumeration Date | 2022-06-16 |
Last Update Date | 2023-08-03 |