NPI | 1467531194 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP120134) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL ARNP2765272) |
363LN0000X Nurse Practitioner, Neonatal (Licence: TX 534760) | |
Enumeration Date | 2006-11-03 |
Last Update Date | 2016-04-01 |