NPI | 1972583086 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: KY 3002799) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1057765) |
Enumeration Date | 2006-01-17 |
Last Update Date | 2020-10-19 |