| NPI | 1336898063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 1072474) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: TX 1073139) |
| 363L00000X Nurse Practitioner (Licence: TX 1073139) | |
| Enumeration Date | 2022-03-21 |
| Last Update Date | 2024-03-18 |