| NPI | 1518981430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 553699) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 553699) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2014-08-13 |