| NPI | 1174260608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TX 1093544) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 874708) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 1093544) | |
| Enumeration Date | 2022-05-17 |
| Last Update Date | 2024-08-25 |