| NPI | 1790114700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX AP125442) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: MT NUR-APRN-LIC-197650) |
| 163W00000X Registered Nurse (Licence: TX 792617) | |
| Enumeration Date | 2013-11-11 |
| Last Update Date | 2024-02-22 |