| NPI | 1912426487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TX AP135255) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 717475) |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2019-03-04 |