| NPI | 1285794149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX AP125023) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: GA rn050665) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2016-06-17 |