| NPI | 1164887766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: TX AP130756) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 785675) |
| Enumeration Date | 2015-12-24 |
| Last Update Date | 2016-04-28 |