NPI | 1790221190 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704308807) |
Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MI 4704308807) |
Enumeration Date | 2017-01-10 |
Last Update Date | 2020-05-13 |