NPI | 1700167160 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 199805-4405) |
Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: UT 199805-4405) |
Enumeration Date | 2011-08-30 |
Last Update Date | 2025-05-29 |