NPI | 1871988501 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: PA SP014705) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP014705) |
Enumeration Date | 2015-03-31 |
Last Update Date | 2022-08-09 |