NPI | 1265432652 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 571409) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: AZ 313206) |
Enumeration Date | 2005-07-28 |
Last Update Date | 2025-09-16 |