| NPI | 1295277523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP143840) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP143840) |
| 363LF0000X Nurse Practitioner, Family (Licence: MS 901758) | |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2022-10-17 |