NPI | 1790895134 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 300026) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 300026) |
363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NC 300026) | |
363L00000X Nurse Practitioner (Licence: NC 300026) | |
Enumeration Date | 2006-08-30 |
Last Update Date | 2023-12-15 |