NPI | 1881695823 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: GA RN084947) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA R084947) |
Enumeration Date | 2005-08-01 |
Last Update Date | 2011-04-19 |