NPI | 1962921536 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: CA 95009089) |
Additional Taxonomies | 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: CA 95104969) |
Enumeration Date | 2017-09-15 |
Last Update Date | 2022-07-21 |