| NPI | 1295753747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX AP106295) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 522171) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 522171) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2016-11-14 |