NPI | 1780006866 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: LA 227626) |
Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: AL 1-089156) |
363LN0000X Nurse Practitioner, Neonatal (Licence: FL APRN11021775) | |
Enumeration Date | 2014-01-09 |
Last Update Date | 2023-04-11 |