NPI | 1902096399 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: GA RN182787) |
Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: AK 794) |
Enumeration Date | 2007-07-31 |
Last Update Date | 2014-04-11 |