| NPI | 1235313602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX AP116494) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TX 693590) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 693590) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 693590) | |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2022-08-10 |