| NPI | 1760919229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: TX AP134982) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 724305) |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2020-12-31 |