| NPI | 1952536096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: AZ 117084) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX AP130596) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2016-08-04 |