| NPI | 1992034524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX AP118901) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 703269) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2017-06-13 |