| NPI | 1447609656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: TX AP131804) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: TX 811486) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2016-12-15 |