| NPI | 1972853091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX API120342) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 676984) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2017-02-23 |