NPI | 1962533182 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: CA 602421) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 16059) |
Enumeration Date | 2007-03-08 |
Last Update Date | 2007-07-08 |