NPI | 1750466843 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA TP005342N) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: PA TP005342N) |
363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: PA TP005342N) | |
Enumeration Date | 2006-10-26 |
Last Update Date | 2011-09-15 |