| NPI | 1184096703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX AP129856) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 758321) |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2016-03-30 |