NPI | 1740318534 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3005550) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: KY 3005550) |
Enumeration Date | 2007-03-01 |
Last Update Date | 2019-02-25 |