| NPI | 1790930303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 508122) |
| Additional Taxonomies | 364SN0000X Clinical Nurse Specialist, Neonatal (Licence: TX 508122) |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2023-01-24 |