NPI | 1952668030 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 065860-23) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 697370) |
363LN0000X Nurse Practitioner, Neonatal (Licence: MA RN2276287) | |
Enumeration Date | 2012-04-13 |
Last Update Date | 2012-09-07 |