NPI | 1932436045 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: WY 120211001) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WY 120211001) |
363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: WY 120211001) | |
Enumeration Date | 2009-11-10 |
Last Update Date | 2021-01-11 |