| NPI | 1750346847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TX 505735) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: NM CNP-02165) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2013-07-03 |