| NPI | 1154405553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: MT 194555) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: TX AP 125748) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2022-10-05 |