| NPI | 1629880620 |
|---|---|
| Former Name | ALLISSA NIKOLE FOSTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 1206651) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: KY 117861) |
| 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: TX 850075) | |
| Enumeration Date | 2025-01-25 |
| Last Update Date | 2025-07-14 |