NPI | 1922542679 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: AZ 315091) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN 22108) |
Enumeration Date | 2016-12-15 |
Last Update Date | 2025-09-09 |