| NPI | 1215302492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TX AP129832) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP129832) |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2024-05-21 |