| NPI | 1437621810 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX AP141054) | 
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: TX 846414) | 
| Enumeration Date | 2018-12-22 | 
| Last Update Date | 2019-05-15 |