| NPI | 1790928828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TX AP127352) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9223295) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: FL 9223295) | |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2015-04-22 |