NPI | 1740768183 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: CA 95020828) |
Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: CO RN.0201237) |
363LN0000X Nurse Practitioner, Neonatal (Licence: CO APN.0994075-NP) | |
Enumeration Date | 2018-07-28 |
Last Update Date | 2022-06-03 |