| NPI | 1730727314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: FL APRN11030321) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 683428) |
| Enumeration Date | 2019-12-14 |
| Last Update Date | 2024-01-30 |