| NPI | 1366483240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX AP114732) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 725062) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TX AP114732) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2015-12-01 |