| NPI | 1164068359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 1094972) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: FL RN9463928) |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2023-01-09 |