| NPI | 1336394592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TX AP128995) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP128995) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NY F332815-1) | |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2022-02-09 |