| NPI | 1568580058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1012927) |
| Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TX SA00329) |
| 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: TX SA00329) | |
| 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: TX 2947) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2024-04-23 |