| NPI | 1083499982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 1130838) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX 1130838) |
| Enumeration Date | 2023-08-29 |
| Last Update Date | 2023-09-25 |