NPI | 1720161003 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3013289) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN 120839) |
Enumeration Date | 2006-10-23 |
Last Update Date | 2019-07-31 |