NPI | 1730912650 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: IA K178412) |
Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IA K178412) |
363LN0000X Nurse Practitioner, Neonatal (Licence: IA K178412) | |
Enumeration Date | 2024-08-26 |
Last Update Date | 2024-08-26 |