| NPI | 1992407878 |
|---|---|
| Former Name | MISTY HIGGINBOTHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: AR 235107) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704431862) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TN 163029) | |
| Enumeration Date | 2023-03-21 |
| Last Update Date | 2026-04-01 |