| NPI | 1679012827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX AP133456) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: TX 725498) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MO 2021018368) | |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: KS 53-81013-102) | |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2022-03-25 |