| NPI | 1891231502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 135609) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 5012865) |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2023-03-14 |