NPI | 1982717609 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MD R066500) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R066500) |
363LP1700X Nurse Practitioner, Perinatal (Licence: MD R066500) | |
Enumeration Date | 2006-08-16 |
Last Update Date | 2016-03-24 |