| NPI | 1467542092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: UT 209214-4405) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 209214-4405) |
| 207L00000X Anesthesiology (Licence: UT 209214-4405) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2017-04-24 |