NPI | 1972120905 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: VA 0024179547) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: VA 0024179547) |
Enumeration Date | 2020-06-25 |
Last Update Date | 2021-08-02 |