| NPI | 1164670311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN APN0000013674) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 1089031) |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2022-10-21 |