| NPI | 1073295358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: TX 1131822) |
| Additional Taxonomies | 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: DE L1-0071177) |
| Enumeration Date | 2023-08-04 |
| Last Update Date | 2024-01-31 |