NPI | 1780312819 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 1098269) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1098269) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2022-08-08 |
Last Update Date | 2024-10-14 |