NPI | 1851672034 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 197998-4405) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: UT 197998-4405) |
Enumeration Date | 2011-09-01 |
Last Update Date | 2025-05-29 |