| NPI | 1043403983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX AP116606) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: TX 706001) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 706001) | |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TX 706001) | |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2022-12-09 |