NPI | 1891033023 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 21651) |
Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: CO C-APN.0000039-C-NP) |
Enumeration Date | 2013-01-23 |
Last Update Date | 2018-10-23 |