| NPI | 1104889393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 672348) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: MT NUR-APRN-LIC-218779) |
| Enumeration Date | 2006-04-09 |
| Last Update Date | 2024-03-06 |