| NPI | 1417990599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX AP114352) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 640571) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9334141) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2015-12-14 |