| NPI | 1083924369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 763022) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: AR AO3420) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2010-10-20 |