| NPI | 1598400376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 1090212) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 728527) |
| Enumeration Date | 2022-05-04 |
| Last Update Date | 2022-09-21 |