| NPI | 1316239452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX AP117769) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 612850) |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2021-04-12 |