| NPI | 1003460791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TX Ap142888) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP142888) |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2023-08-23 |