| NPI | 1972200848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 1112904) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 774616) |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2023-06-29 |