| NPI | 1730830431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 1119930) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: GA GAA-NP000567) |
| Enumeration Date | 2022-01-13 |
| Last Update Date | 2023-08-02 |