NPI | 1750349924 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 2004024377) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: KS 45774) |
363LN0000X Nurse Practitioner, Neonatal (Licence: KS 14-97009-031) | |
Enumeration Date | 2006-05-03 |
Last Update Date | 2007-07-08 |