| NPI | 1891731329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 818402) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA AP03142) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2012-11-09 |