| NPI | 1023657756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 1115468) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL 11008429) |
| Enumeration Date | 2019-12-28 |
| Last Update Date | 2023-07-05 |