NPI | 1699403360 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: ID 2271863) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 1089696) |
Enumeration Date | 2022-08-10 |
Last Update Date | 2025-07-29 |