NPI | 1750619227 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 4984079-4405) |
Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: UT 49840793102) |
Enumeration Date | 2009-11-22 |
Last Update Date | 2025-05-21 |