| NPI | 1568897171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TX 611439) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX AP124255) |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2016-04-29 |