NPI | 1992882906 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NM 79984) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL APRN11026789) |
363LN0000X Nurse Practitioner, Neonatal (Licence: UT 136096474405) | |
363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NP15851) | |
Enumeration Date | 2006-11-01 |
Last Update Date | 2024-10-11 |