| NPI | 1932496627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: TX 670785) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: FL 11026791) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2023-08-29 |