| 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 |