| NPI | 1205573540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: UT 8731685-4405) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: UT 8731685-3102) |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2022-11-18 |