| 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 |