| NPI | 1386926863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 757576) |
| Additional Taxonomies | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: TX 112931) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP143979) | |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2022-01-20 |