| NPI | 1679719215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: UT 364477-4405) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: UT 364477-4408) |
| Enumeration Date | 2009-01-04 |
| Last Update Date | 2021-09-08 |