| NPI | 1609139617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL APRN11024857) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 676108) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2023-07-10 |