| NPI | 1396989802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN APN19772) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 501561) |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2015-10-15 |