NPI | 1972030625 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL APRN11029307) |
Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: NY 350421) |
Enumeration Date | 2017-05-12 |
Last Update Date | 2024-02-16 |