| NPI | 1669723367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 1034562) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: MD R218655) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: AL 1-088550) | |
| Enumeration Date | 2012-09-21 |
| Last Update Date | 2021-10-28 |