| NPI | 1649466624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: UT 205957-4405) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: UT 205957-4405) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2016-11-17 |