| NPI | 1184043416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 1017564) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN APN20166) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: WI 5752-33) | |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TN 20166) | |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2021-04-07 |