NPI | 1477801488 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TX AP122372) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 726065) |
363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TX Q9924) | |
Enumeration Date | 2012-08-22 |
Last Update Date | 2023-04-19 |