| NPI | 1205258068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TX 125611) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 749624) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: TX AP125611) | |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2024-06-19 |