| NPI | 1457030660 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 1126942)  | 
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: MO 2017022895)  | 
| 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: TX 1126942)  | |
| Enumeration Date | 2023-07-14 | 
| Last Update Date | 2023-10-31 |