NPI | 1982317962 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 1111569) |
Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: TX 754998) |
363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TX 1111569) | |
Enumeration Date | 2023-01-04 |
Last Update Date | 2023-05-01 |