NPI | 1720031909 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 548703) |
Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care |
Enumeration Date | 2006-05-18 |
Last Update Date | 2025-07-15 |