| NPI | 1275278731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: UT 196716-4405) |
| Additional Taxonomies | 225500000X Specialist/Technologist |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-04-29 |
| Last Update Date | 2023-02-02 |