NPI | 1821548025 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: NJ 26NJ00822800) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0047064) |
Enumeration Date | 2016-10-12 |
Last Update Date | 2024-01-30 |