| NPI | 1114350394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX AP115396) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 539260) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2017-03-21 |