| NPI | 1912968157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: TX 597062) |
| Additional Taxonomies | 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: TX 597062) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2022-04-13 |