NPI | 1962939298 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN 33936) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 33936) |
363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MS 902021) | |
Enumeration Date | 2017-05-17 |
Last Update Date | 2024-12-20 |