| NPI | 1073223780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 1112577) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 747574) |
| Enumeration Date | 2022-12-05 |
| Last Update Date | 2023-06-01 |