| NPI | 1821273939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 601936) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: OK 136981) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2020-08-19 |