NPI | 1740460906 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: CT 11787) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL 11027144) |
363LN0000X Nurse Practitioner, Neonatal (Licence: GA RN122247) | |
Enumeration Date | 2007-11-05 |
Last Update Date | 2024-02-23 |