| NPI | 1063781045 |
|---|---|
| Former Name | SANDRA BAUER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 627945) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: TX 627945) |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2011-12-21 |