NPI | 1942796040 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NY F350348-1) |
Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: NY 554546) |
Enumeration Date | 2018-07-02 |
Last Update Date | 2021-03-23 |