| NPI | 1790072767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX AP131132) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN152532) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2016-10-04 |