| NPI | 1336442201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX F0514516) |
| Additional Taxonomies | 246ZS0410X Specialist/Technologist, Other Surgical Technologist (Licence: TX 643505) |
| 246ZS0410X Specialist/Technologist, Other Surgical Technologist (Licence: TX F0514516) | |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2014-06-16 |