| NPI | 1326587585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TX AP133079) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX AP133079) |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2018-10-25 |