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