| NPI | 1255393807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: LA AP05120) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TX 665217) |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2016-10-31 |