| NPI | 1154030146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: UT 314785-3102) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: UT 314785-4405) |
| Enumeration Date | 2022-11-17 |
| Last Update Date | 2023-02-08 |