| NPI | 1780032953 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TX AP130744) | 
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX AP130744) | 
| 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 745254) | |
| Enumeration Date | 2016-05-29 | 
| Last Update Date | 2024-04-24 |