| NPI | 1306279583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TX 464080) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 464080) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2017-03-08 |