| NPI | 1538524574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP129811) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX AP129811) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TX AP129811) | |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2023-12-13 |