| NPI | 1003356437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: TX AP134933) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: LA AP05179) |
| Enumeration Date | 2017-03-05 |
| Last Update Date | 2022-10-03 |