NPI | 1912256017 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 2012026934) |
Additional Taxonomies | 363LP1700X Nurse Practitioner, Perinatal (Licence: MO 2012026934) |
Enumeration Date | 2012-09-05 |
Last Update Date | 2024-07-16 |