| NPI | 1821740366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: TX 1071639) |
| Additional Taxonomies | 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: TX 796530) |
| Enumeration Date | 2022-01-26 |
| Last Update Date | 2022-04-05 |