| NPI | 1720148091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TX NP124639) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: ID 2471949) |
| Enumeration Date | 2006-12-09 |
| Last Update Date | 2025-02-04 |