NPI | 1720705478 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: LA 228104) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN141438) |
Enumeration Date | 2022-10-24 |
Last Update Date | 2022-12-02 |