| NPI | 1467472431 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 878411) | 
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: VA 0024166317) | 
| Enumeration Date | 2006-07-20 | 
| Last Update Date | 2015-10-14 |