| NPI | 1124563036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX AP133730) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 751418) |
| Enumeration Date | 2016-12-31 |
| Last Update Date | 2019-01-17 |