NPI | 1982988333 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: TX AP122378) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9267162) |
Enumeration Date | 2011-10-04 |
Last Update Date | 2023-05-25 |