| NPI | 1508828419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX AP103400) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 530171) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2021-12-10 |