| NPI | 1265709034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX AP131910) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP131910) |
| 363L00000X Nurse Practitioner (Licence: CA 95006033) | |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2024-01-02 |