NPI | 1063632578 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX AP113033) |
Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NE 110683) |
363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TX 557347) | |
Enumeration Date | 2007-04-26 |
Last Update Date | 2016-06-27 |