| NPI | 1073058426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX AP132810) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: LA 234642) |
| 363L00000X Nurse Practitioner (Licence: LA 234642) | |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2025-08-25 |