NPI | 1689829715 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: SC 17972) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: PA SP004002J) |
Enumeration Date | 2008-11-17 |
Last Update Date | 2021-01-28 |