| NPI | 1306445002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: AZ 254221) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 856953) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2021-03-22 |