| NPI | 1518567395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX AP1018008) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX 2080N0001X) |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2021-03-30 |