| NPI | 1679769392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 753590) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: KY 1096576) |
| 163W00000X Registered Nurse (Licence: TN RN0000156402) | |
| 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: TX 753590) | |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2014-11-11 |