| NPI | 1598125809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: TX 662828) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: TX 662828) |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2023-04-18 |