NPI | 1730727314 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: FL APRN11030321) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 683428) |
Enumeration Date | 2019-12-14 |
Last Update Date | 2024-01-30 |