NPI | 1962630780 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 930053) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 930053) |
Enumeration Date | 2009-07-01 |
Last Update Date | 2023-03-09 |