| NPI | 1952363863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX AP104095) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 500827) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 500827) | |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2020-10-05 |