| NPI | 1245698505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX AP130134) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX AP130134) |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2018-06-11 |