| NPI | 1164494712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN 29532) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 663491) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2022-03-14 |