| NPI | 1467637645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: TX AP111072) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: TX 600692) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2023-05-26 |