| NPI | 1326428582 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX AP129089)  | 
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: TX 664214)  | 
| Enumeration Date | 2015-06-03 | 
| Last Update Date | 2024-01-24 |