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 |