| NPI | 1174899140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX AP105453) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TX 539694) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 105452) | |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2020-12-09 |