NPI | 1710268214 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 2017004620) |
Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: FL RN9269248) |
Enumeration Date | 2011-08-29 |
Last Update Date | 2022-11-21 |