| NPI | 1396997714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 562486) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 562486) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 562486) | |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2012-02-27 |