NPI | 1972799294 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: UT 6445848-4405) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: UT 6445848-4405) |
Enumeration Date | 2007-09-20 |
Last Update Date | 2007-09-20 |