| NPI | 1588254668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 1032644) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 763691) |
| Enumeration Date | 2021-01-22 |
| Last Update Date | 2021-07-08 |