NPI | 1972964245 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID 58658) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704395179) |
363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NC 5008444) | |
Enumeration Date | 2016-03-15 |
Last Update Date | 2024-05-07 |