NPI | 1932569175 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NM CNP-03533) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: CO C-APN.0002634-C-NP) |
Enumeration Date | 2016-03-01 |
Last Update Date | 2021-12-16 |