| NPI | 1306123385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: TX AP120319) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: TX 693297) |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2015-08-13 |