NPI | 1912688045 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: SD CP002999) |
Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: SD R050996) |
163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: MN 2465896) | |
Enumeration Date | 2023-07-31 |
Last Update Date | 2024-07-12 |