| NPI | 1013797208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 1141012) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: AL 1-159664) |
| Enumeration Date | 2023-10-04 |
| Last Update Date | 2024-03-07 |